Provider Demographics
NPI:1548421217
Name:GIANNOS, CHRIS (HRISTOS) KONSTADINOS (DC, MS, CCSP)
Entity Type:Individual
Prefix:DR
First Name:CHRIS (HRISTOS)
Middle Name:KONSTADINOS
Last Name:GIANNOS
Suffix:
Gender:M
Credentials:DC, MS, CCSP
Other - Prefix:DR
Other - First Name:CHRIS
Other - Middle Name:KONSTADINOS
Other - Last Name:GIANNOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC, MS, CCSP
Mailing Address - Street 1:123 LOWREY PL
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-3003
Mailing Address - Country:US
Mailing Address - Phone:860-436-2065
Mailing Address - Fax:860-436-2066
Practice Address - Street 1:123 LOWREY PL
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-3003
Practice Address - Country:US
Practice Address - Phone:860-436-2065
Practice Address - Fax:860-436-2066
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001751111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician